title: Haemophilus aphrophilus bacteraemia complicated with vertebral osteomyelitis and spinal epidural abscess in a patient with liver cirrhosis.
abstract: Haemophilus aphrophilus is rarely implicated as an aetiology of spinal epidural abscess. A 73-year-old woman with liver cirrhosis who developed H. aphrophilus bacteraemia complicated with vertebral osteomyelitis and spinal epidural abscess is presented. Without surgical decompression, she was successfully treated with cefotaxime for 3 weeks, followed by maintenance with ciprofloxacin for another 10 weeks. The clinical features of eight previously reported cases of vertebral osteomyelitis without epidural abscess due to H. aphrophilus are reviewed.
authors.affiliation: Department of Internal Medicine, National Taiwan University Hospital, Taipei.
authors.forename: C C
authors.initials: CC
authors.lastname: Hung
authors.forename: P R
authors.initials: PR
authors.lastname: Hsueh
authors.forename: Y C
authors.initials: YC
authors.lastname: Chen
authors.forename: C T
authors.initials: CT
authors.lastname: Fang
authors.forename: S C
authors.initials: SC
authors.lastname: Chang
authors.forename: K T
authors.initials: KT
authors.lastname: Luh
authors.forename: W C
authors.initials: WC
authors.lastname: Hsieh
mesh_terms: D000038:Abscess / Q000150:complications* / Q000188:drug therapy; D000368:Aged; D016470:Bacteremia / Q000150:complications* / Q000188:drug therapy; D002439:Cefotaxime / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D004824:Epidural Space; D005260:Female; D006190:Haemophilus / Q000145:classification; D006192:Haemophilus Infections / Q000150:complications* / Q000188:drug therapy; D006651:Histocytochemistry; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008279:Magnetic Resonance Imaging; D010019:Osteomyelitis / Q000150:complications* / Q000188:drug therapy; D013122:Spinal Diseases / Q000150:complications*
chemical_list: D002939:Ciprofloxacin; D002439:Cefotaxime